9KG-89864-87593
2 vaccinations
3 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 0-4
- ZIP prefix
- 801 / CO
- Registered
- 2022-06-22
- Relationship
- Child or adolescent in my care
- Guardian
- Z93-22698-33950
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-06-22
Registered in v-safe
-
2022-06-22
Dose 1 — Moderna
- 2022-06-22
-
2022-06-23
Health check-in — days 1–6 daily, dose 1, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-06-28
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-07-20
Dose 2 — Moderna
- 2022-07-20
-
2022-07-21
Survey response — days 1–6 daily, dose 2, under 3MedDRA: Headache — Feeling: Fair · Site: Pain · Fever · Sleepiness, Irritability/crying, Loss of appetite · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
-
2022-07-22
Health check-in — days 1–6 daily, dose 2, under 3Feeling: Good · Site: Pain · NoneUnder 3 check-in
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-08-05
- 2022-08-10
- 2022-08-17
-
2022-08-24
Survey response — day 35, dose 2, under 3MedDRA: Cough, Nasal congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Stuffy nose. Cough. Negative Covid rapid test.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-31
- 2022-10-19
-
2023-01-20
Survey response — 6 months, dose 2, under 3MedDRA: Chills, Gastroenteritis viral, Headache, Pain, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-06-22 | Moderna | No |
| 2 | 2022-07-20 | Moderna | No |
Free text
Release 12 (Under 3) — days 1–6 daily, dose 2, under 3
Systemic reaction (other): Headache
Release 12 (Under 3) — day 35, dose 2, under 3
Symptoms: Stuffy nose. Cough. Negative Covid rapid test.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release